Unsp injury at C2 level of cervical spinal cord, sequela

This code signifies a long-term or late effect resulting from an unspecified injury to the cervical spinal cord at the C2 vertebral level. It indicates that the initial acute injury has resolved, but residual symptoms or complications persist. The specific nature of the original injury (e.g., fracture, dislocation) is not documented or is unknown.

Use this code when a patient presents with ongoing neurological deficits, pain, or other complications directly attributable to a past, unspecified spinal cord injury at C2. Documentation should clearly state that the current condition is a sequela of an old injury, and the specific type of initial injury is not detailed. This code is appropriate for follow-up visits addressing chronic issues related to the past trauma.

• Requires a seventh character "S" to indicate sequela, meaning the current condition is a late effect of the injury.
• Always sequence this code after the code(s) describing the specific residual condition(s) (e.g., spasticity, paralysis) resulting from the sequela.
• Do not use for acute injuries; refer to codes without the "S" seventh character for initial encounters.